Remote Utilization Review LPN/LVN
HealthCare Support is actively seeking a Remote Utilization Review LPN/LVN to fill an opening.
Daily Responsibilities for Remote Utilization Review LPN/LVN:
Concurrent review for inpatient charts using MCG (Milliman Care Guidelines) and Medicare guidelines
Responsible for providing timely referral determination by accurate:
Usage of the Milliman Care Guidelines
Identification of referrals to the medical director for review
Appropriate letter language (i.e. – denials)
Appropriate selection of the in or out of network providers
Proper identification of eligibility and health plan benefits
8:30am to 5pm PST.
Required Qualifications for Remote Utilization Review LPN/LVN:
High School Diploma or GED
Active and unrestricted LVN/LPN license in CA
1+ year of inpatient/concurrent review
Benefits for Remote Utilization Review LPN/LVN:
Immediate enrollment in Health Insurance
Dental Insurance
Life Insurance
Employee Assistance Program (EAP)
Access to Investment Accounts
Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $34/hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to [email protected] with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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Healthcare Support
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